Head and Neck 2.0 Flashcards
The neck can be subdivided into ___ regions
4
What are the 4 subdivisions of the neck
Anterior subdivision (triangle), sterno cleido mastoid, lateral (posterior triangle), posterior subdivision
What is the border of the neck
from midline at chin (midline angle of mandible) to mastoid process to occipital protuberance and same on other side
What is the border between the neck and torso
Jugular notch move laterally following your clavicle to you acromion the travel to spinous process of C7 and same on other side
What divides your neck into anterior and lateral regions
the SCM
How many triangles exist on each side of the neck
2 Posterior and anterior
How many regions exist on each side of the neck
3 anterior lateral posterior
Where is the posterior region
back of the neck between the two anterior borders of the trapezius muscle
Where is the anterior triangle
from midline to mastoid process to the anterior border of the scm
Where does the posterior triangle go
posterior border of SCM, anterior border of trapezius, middle third of clavicle
What does the anterior triangle contain
infra-hyoid and supra-hyoid muscles, major blood vessels, and cervical viscera - (thyroid, trachea, and pharynx)
What is found in the posterior triangle (lateral region)
roots and trunks of the brachial plexus + scalene muscles
What does the posterior region contain
trapezius, splenius capitis & cervicis and levator scapula
What is the most superficial muscle of the neck
Platisma
What is the platisma origin? insertion? Nerve?
delto-pectoral fascia
Inferior border of mandible and fascia of the lower face
Cranial nerve 7
What is the action of platisma
helps in depressing the mandible and shaving muscle
Where are the two heads of the SCM
manubrium and medial 1/3 of clavicle
Where does the SCM insert
Mastoid process and lateral half of superior nuchal line
What is the innervation and function of the SCM
CN XI (spinal accessory) plus C2-C3 Function - Rotates the head contra-laterally and extends the neck. Bilateral contraction flexes the neck
What nerves are found in the lateral cervical region
cutaneous branches of cervical plexus, greater auricular, lesser occipital, transverse cervical, supraclavicular, cranial nerve XI
What nerve supplies skin on the back of the head
lesser occipital
What nerve supplies skin around ear
Greater auricular
What is the most important sensory branch of cervical plexus and supplies almost entire skin of the anterior triangle of neck
Transverse cervical
What nerve supplies the skin around the clavicle
Supraclavicular nerve
What is the highest muscle of the posterior triangle
Splenius Capitis
What is the origin, insertion, and action of the levator scapula
O- transverse processes of the atlas and axis
I - uperior angle and medial border of the scapula
A - elevates the scapula and downward rotation
What do you find sandwiched between the middle and anterior scalene
nerves which are part of the brachial plexus
What do you find immediately anterior of the anterior scalene
Phrenic nerve
What does the phrenic nerve innervate
The diaphragm
What arteries are found in the lateral cervical region
Cervicodorsal
Supra-scapular
Arising from the thyro-cervical trunk which is a branch of the subclavian artery
Where do the cervicodorsal and supra-scapular arteries arise from
Thyrocervical trunk which is a branch of the sub-clavian artery
What veins do you find in the lateral cervical region
external jugular vein
Subclavian vein
Internal jugular vein
The external jugular vein joins the ____ just before ____
sub-clavian vein just before internal jugular vein
Where does the subclavian artery pass
behind the anterior scalene and ends at the lateral border of rib 1
What occurs to the subclavian artery after it pass the lateral border of rib 1
becomes the axillary artery
Where does the sub-clavian vein sit?
in front of anterior scalene
What branches off the thyrocervical trunk
Cervicodorsal artery and transverse cervical artery
What does the transverse cervical artery supply
mostly trapezius
What does the supra-scapular artery supply
all muscles in back of scapula
Where does the external jugular run
immediately deep to skin parallel to SCM
What is the main vein of the head and neck regions
Internal jugular
Where does the internal jugular run
deep to SCM
The subclavian vein joins to the …
internal jugular vein
The suprahyoid muscles are one of the subdivisions of the _____
anterior triangle
What is the major function of the suprahyoid muscles
to elevate the hyoid bone or depress (open) the mandible
What are the suprahyoid muscles
- Stylo-hyoid
- Mylo-hyoid
- Genio-hyoid
- Digasteric
What is the function of the stylohyoid? nerve supply? O and I?
elevates your hyoid - too small to do anything with head. cranial nerve 7
O - Styloid process of temporal bone
I - Hyoid
Which supra-hyoid muscle has two bellies
Digasteric
What is the O and I of the Digasteric muscle, action, nerve supple?
O - Mastoid process
I - Mandible near midline
A - when two bellies contract together lifts hyoid and opens jaw
N - Posterior belly is CN 7 and anterior belly is CN 5
What is the O and I of the Mylo hyoid, action, nerve supply?
O - Mandible
I - Hyoid bone - majority of fibres join with the other side to create sort of diaphragm
A - Elevate hyoid and depress mandible
NS - CN 5
What is the O, I, action, and NS of the Geniohyoid muscle?
O - Genio tubercle
I - hyoid
A - Depress Mandible and elevate hyoid bone
NS - C1
The infrahyoid muscles are a group of ___ muscles that are attached to….
strap
Sternum, thyroid cartilage, and hyoid bone
What is the general function of the infrahyoid bones
the pull down and stabilize the hyoid bone/thyroid cartilage to anchor the hyoid bone for the supra hyoid muscles
What are the infrahyoid muscles
- Sterno-hyoid
- Omo-hyoid
- Sterno-thyroid
- Thyro-hyoid
Which muscles are in the superficial layer of the infrahyoid muscles? deep layer?
Super - Sterno-hyoid and Omo-hyoid
Deep - Sterno-hyoid and thyro-hyoid
Which infrahyoid bone has two bellies
Omo-hyoid
What action do the sterno-thyroid and thyro-hyoid do together?
Move thyroid cartilage up and down and depress the hyoid
All infra-hyoid muscles are innervated by…
C1, C2, C3 branches of the surgical plexus
What are 3 deep muscles of the neck
Longus coli
Longus Capitis
Scalene muscles
What is the O, I, fun, and NS of longus coli
O - Upper thoracic vertebrae and lower cervical vertebrae
I - Upper cervical vertebrae and mid cervical vertebrae
Fun - Neck flexion and stabilization
N - C2-C6 ventral rami
What is the O, I, Fun, and NS of longus capitis
O - Middle cervical vertebrae
I - occipital bone
Fun - Head flexion
NS - C1-C3 ventral rami
The longus coli has ___ sets of fibres
3
What is the O, I, Fun, Reverse action, and NS of Scalene
O - Transverse process of cervical vertebra
I - Ant + Mid on 1st rib, Post on 2nd rib
Fun - raise of lift first two ribs, helps with forceful or deep inhalation
Reverse Action - Lateral flexion of the neck
NS - C2-C8 ventral rami
What causes COPD
People rely on accessory muscles to breath in - after a few months these muscles spasms and cause the patients to have forward head posture
What are some of the effects of COPD
Head forward posture, posture causes cervical pain and moves first two ribs up and squishes everything above this
If someone with COPD came to a PT what would be the role of the PT
To release the accessory muscles and correct posture
From where does the common carotid artery arise from?
Right comes from brachiocephalic
L from arch of aorta
The internal carotid artery supplies ____ and the external carotid artery supplies ____
CNS
Face and parts of neck
What are the 3 most important branches for the external carotid artery
Facial
Maxillary
Superficial temporal
Where does the facial artery run and supply?
Wraps around the inferior border of mandible to enter the face and supply the superficial part of the face
Where does the maxillary artery run and supply?
Through the infratemporal fossa and supplies the deep part of the face (cavities)
Where does the superficial temporal artery run and supply?
Passes in front of the auricle to supply major parts of the scalp
at what point does the common carotid artery split
C4
The ____ drain the venous blood of the CNS
Internal Jugular vein
What else does the internal jugular vein drain
Scalp, deep parts of the face, as well as blood of the CNS
What veins carry blood from the superficial part of the face and neck
Anterior and external jugular veins
What does the subclavian vein sdo
drain blood from upper extremity
The subclavian vein joins the subclavian vein of the same side to form the …
Brachiocephalic veins
The brachiocephalic veins join to form
superior vena cava
The superior vena cava drains into the
right cardiac atrium